JENNY YOUNGJIN PARK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****33

License Status

NOT RENEWED

Business

First Name

JENNY

Middle

YOUNGJIN

Last Name

PARK

Business Name

JENNY YOUNGJIN PARK

Original Issue Date

09/04/2008

Effective Date

09/04/2008

Expiration Date

03/31/2010

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010